Active NPI
Cora Coleman
- Clinical Social Worker
- Harper Woods, MI
National Provider Identifier
1417379959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801078691
- Practice address
- 20303 Kelly Rd
Harper Woods, MI 48225-1206 - Phone
- (313) 245-7000
- Fax
- (313) 245-7009
- NPI assigned
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801078691 | MI | Primary |
| Community/Behavioral Health Agency | 251S00000X | 6801078691 | MI |
Addresses
Primary practice location
20303 Kelly Rd
Harper Woods, MI 48225-1206
Mailing address
20303 Kelly Rd
Harper Woods, MI 48225-1206
Phone (313) 245-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801078691 | MI | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1417379959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 KELLY RD",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251206",
"telephone_number": "313-245-7000",
"fax_number": "313-245-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 KELLY RD",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251206",
"telephone_number": "313-245-7000",
"fax_number": "313-245-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801078691",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801078691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.